Myisha Myers Jackson

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6912 Issued in LA

Practice address

801 Stubbs Ave Ste D
Monroe, LA 71201-5566

Phone

(318) 582-5147

NPI assigned

Jan 19, 2016

Last updated

Jan 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Myisha Myers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: myishajackson@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD Authorized official
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  Counselor

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1033576244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 STUBBS AVE STE D",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 STUBBS AVE STE D",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015566",
            "telephone_number": "318-582-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MYISHA",
        "middle_name": "MYERS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "88456",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "6912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYISHA",
            "last_name": "MYERS",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen Jackson
• Laterrica Jackson
• Latesha Jackson
• Latoya Jackson
• Modeacon Latrell Jackson Sr.
• Oliver Jackson
• Quinton Jackson
• Raven Jackson
• Sanquanita Charnae Jackson
• Shalyse A Jackson

• Counselor in Monroe, LA
• Providers in Monroe, LA by specialty
• Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.